NPI | 1306048780 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFERY K BRESSMAN President 847-998-8959 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 060-005529) |
Enumeration Date | 2007-06-05 |
Last Update Date | 2012-11-16 |